scholarly journals Cardiovascular Autonomic Function Changes and Predictors During a 2-Year Physical Activity Program in Rheumatoid Arthritis: A PARA 2010 Substudy

2021 ◽  
Vol 8 ◽  
Author(s):  
David Hupin ◽  
Philip Sarajlic ◽  
Ashwin Venkateshvaran ◽  
Cecilia Fridén ◽  
Birgitta Nordgren ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Machine Learning ◽  
Heart Rate ◽  
Autonomic Function ◽  
Maximal Exercise ◽  
Machine Learning Algorithms ◽  
Physical Activity Program ◽  
Activity Program ◽  
Increased Risk

Background: Chronic inflammation leads to autonomic dysfunction, which may contribute to the increased risk of cardiovascular diseases (CVD) in patients with rheumatoid arthritis (RA). Exercise is known to restore autonomic nervous system (ANS) activity and particularly its parasympathetic component. A practical clinical tool to assess autonomic function, and in particular parasympathetic tone, is heart rate recovery (HRR). The aim of this substudy from the prospective PARA 2010 study was to determine changes in HRR post-maximal exercise electrocardiogram (ECG) after a 2-year physical activity program and to determine the main predictive factors associated with effects on HRR in RA.Methods: Twenty-five participants performed physiotherapist-guided aerobic and muscle-strengthening exercises for 1 year and were instructed to continue the unsupervised physical activity program autonomously in the next year. All participants were examined at baseline and at years 1 and 2 with a maximal exercise ECG on a cycle ergometer. HRR was measured at 1, 2, 3, 4, and 5 min following peak heart rate during exercise. Machine-learning algorithms with the elastic net linear regression models were performed to predict changes in HRR1 and HRR2 at 1 year and 2 years of the PARA program.Results: Mean age was 60 years, range of 41–73 years (88% women). Both HRR1 and HRR2 increased significantly from baseline to year 1 with guided physical activity and decreased significantly from year 1 to year 2 with unsupervised physical activity. Blood pressure response to exercise, low BMI, and muscular strength were the best predictors of HRR1/HRR2 increase during the first year and HRR1/HRR2 decrease during the second year of the PARA program.Conclusion: ANS activity in RA assessed by HRR was improved by guided physical activity, and machine learning allowed to identify predictors of the HRR response at the different time points. HRR could be a relevant marker of the effectiveness of physical activity recommended in patients with RA at high risk of CVD. Very inactive and/or high CVD risk RA patients may get substantial benefits from a physical activity program.

scholarly journals Background and Intensity of the GALM Physical Activity Program

2005 ◽  
Vol 2 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Johan de Jong ◽  
Martin Stevens ◽  
Koen A.P.M. Lemmink ◽  
Mathieu H.G. de Greef ◽  
Piet Rispens ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Heart Rate ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Physical Activity Program ◽  
Heart Rate Monitors ◽  
Activity Program ◽  
Rate Maximum ◽  
Interesting Alternative

Background:The Groningen Active Living Model (GALM) was developed to stimulate physical activity in sedentary and underactive older adults. The GALM physical activity program was primarily based on an evolutionary–biological play theory and insights from social cognitive theory. The purpose of this study was to assess the intensity of the GALM program.Methods:Data from 15 GALM sessions were obtained by means of heart rate monitors.Results:Data of 97 program participants (mean age: 60.1 y) were analyzed. The overall mean intensity for the GALM program was 73.7% of the predicted heart rate maximum and 6% of the monitored heart rate time could be classified as light, 33% as moderate and 61% as hard.Conclusions:The GALM program met the intensity guidelines to increase cardiorespiratory fitness. The intensity and attractiveness of this physical activity program make it an interesting alternative for stimulating physical activity in sedentary and underactive older adults.

scholarly journals Efectos de un programa de actividad física vigorosa en la tensión arterial y frecuencia cardiaca de escolares de 8-9 años

2019 ◽  
Vol 8 (1) ◽  
pp. 73-80
Author(s):  
G. F. López Sánchez ◽  
E. J. Ibáñez Ortega ◽  
A. Díaz Suárez
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
School Children ◽  
Cardiovascular Health ◽  
Physical Activity Program ◽  
Activity Program ◽  
Post Test ◽  
Intensity Physical Activity

En la actualidad, las investigaciones encaminadas a mejorar la salud cardiovascular de las personas son de suma importancia. Objetivo: Este artículo se centra en estudiar los efectos de un programa de actividad física sobre la tensión arterial (TA) y frecuencia cardiaca (FC) de un grupo de escolares. Métodos: Participaron 41 escolares (19 niños y 22 niñas), entre los 8 y los 9 años de edad (media de edad 8,49 y DE 0,51). Las variables estudiadas fueron: tensión arterial (sistólica y diastólica) y frecuencia cardiaca en reposo. La tensión arterial y la frecuencia cardiaca se midieron con el tensiómetro de brazo Visomat Comfort 20/40. El procedimiento ha sido: pre-test, intervención y pos-test. La intervención ha consistido en 3 días a la semana de actividad física de alta intensidad, 15 minutos al día, durante 12 semanas. Resultados: Se ha realizado un análisis de datos por medio del SPSS 22 y se han obtenido mejoras significativas en la tensión arterial sistólica y la frecuencia cardiaca (Sig. p < 0.05). Conclusiones: El programa de actividad física empleado en este estudio puede ser de utilidad para mejorar la tensión arterial sistólica y la frecuencia cardiaca de escolares de 8-9 años. Nowadays, research aimed at improving the cardiovascular health of people is of the utmost importance. Objective: This paper focuses on studying the effects of a vigorous-intensity physical activity program on the blood pressure (BP) and heart rate (HR) of a group of school children. Methods: This investigation involved 41 children (19 boys and 22 girls), aged between 8 and 9 years (average age=8.49 and standard deviation=0.51). The variables considered were: blood pressure (systolic and diastolic) and resting heart rate. Blood pressure and heart rate were measured by arm sphygmomanometer Visomat Comfort 20/40. The procedure was as follows: pre-test, intervention and post-test. The intervention consisted of 3 days per week of high-intensity physical activity, 15 minutes per day, during 12 weeks. Results: Data analysis was performed through SPSS 22 and significant improvements were obtained in systolic blood pressure and heart rate (Sig p < 0.05). Conclusions: The physical activity program implemented in this study may be useful to improve systolic blood pressure and heart rate in 8- and 9-year-old school children.

The Adapted Physical Activity Program: A Theory-Driven, Evidence-Based Physical Activity Intervention for People with Brain Impairment

2018 ◽  
Vol 20 (1) ◽  
pp. 81-95 ◽  
Author(s):  
Kelly M. Clanchy ◽  
Sean M. Tweedy ◽  
Stewart G. Trost
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Community Dwelling ◽  
Physical Activity Program ◽  
International Classification Of Functioning ◽  
Evidence Based ◽  
Adapted Physical Activity ◽  
Activity Program ◽  
Activity Promotion ◽  
Increased Risk

People with brain impairments are less active than the general population and consequently have an increased risk of chronic disease. To increase activity requires interventions that are theory driven and evidence based. Here, we describe the adapted physical activity program (APAP), a physical activity promotion program with demonstrated efficacy in community dwelling adults with brain impairments. Distinguishing features of the APAP include the following: delivery in the participants home/or community environment and the utilisation of the principals of community-based rehabilitation; the assessment of each of the domains of the International Classification of Functioning, Disability and Health (ICF) (i.e., health conditions, impairments, activity limitations, participation restrictions and personal and environmental characteristics) to determine how they will impact physical activity adoption and maintenance; the incorporation of theory-based physical activity adoption and maintenance strategies; the utilisation of lifestyle physical activity programs (including client-centred selection of activities) and/or structured exercise programs (requiring principles of exercise prescription). It is anticipated that this program description will permit researchers and/or practitioners to implement the program, replicate its evaluation and/or translate the program into multi-professional rehabilitation settings.

scholarly journals PELATIHAN SENAM REMATIK UNTUK MENURUNANKAN NYERI PADA PENDERITA RHEUMATOID ARTHRITIS DIDESA PERIGI KECAMATAN PULAU PINANG KABUPATEN LAHAT TAHUN 2020

2021 ◽  
Vol 5 (1) ◽  
pp. 428
Author(s):  
Yeni Elviani ◽  
Zuraidah S. ◽  
Wahyu Dwi Ari Wibowo
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Cerebral Cortex ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Physical Activity Program ◽  
Activity Program ◽  
Numerical Rating

ABSTRAKRheumatoid arthritis (RA) merupakan permasalahan sistem muskuloskeletal yang paling banyak terjadi di seluruh dunia, dampak dari RA menyebabkan gangguan kenyamanan, nyeri, keterbatasan mobilitas sampai dengan resiko kecacatan dan kelumpuhan. Program aktifitas fisik yang efektif sangat direkomendasikan bagi penderita RA adalah senam rematik yang sudah terbukti mampu mengurangi skala nyeri bagi para penderita RA. Berdasarkan studi pendahuluan ternyata penderita RA belum mengetahui cara melakukan senam rematik untuk mengurangi nyeri sendi. Sehingga pengenalan dan pemeberian senam rematik bagi para penderita RA wilayah kerja Puskesmas Pulau Pinang perlu untuk dilakukan sebagai program aktifitas fisik yang diharapkan mampu menurungkan skala nyeri bagi para penderita RA. Metode yang dilakukkan adalah melakukan studi pendahuluan, bekerjasama dengan tenaga kesehatan, tokoh masyarakat dan kader yang ada di wilayah Puskesmas Pulau Pinang, pelaksanaan kegiatan dengan memberikan pelatihan dengan cara menonton video dan praktek secara langsung senam rematik, selanjutnya dlakukan pemantaun sebelum dan sesudah intervensi dengan menggunakan lembar observasi Numerical Rating scale (NRS). Hasilnya setelah diberikan senam rematik selama 1 bulan, dengan 1x kegiatan setiap minggu dengan durasi 8 menit, terjadi penurunan skala nyeri 15 orang peserta yang mengalami nyeri sedang menjadi nyeri ringan. Senam rematik mampu mempengaruhi kerja cerebral cortex meliputi aspek kognitif maupun emosi, sehingga dapat memberikan persepsi positif dan relaksasi, yang berdampak pada perasaan bahagia dan mengurangi nyeri. Kata Kunci : senam rematik; rheumatoid arthritis; nyeri; komunitas. ABSTRACT Rheumatoid arthritis (RA) is the most common musculoskeletal system problem worldwide, the impact of RA causing discomfort, pain, limited mobility, and the risk of disability and paralysis. An effective physical activity program highly recommended for RA sufferers is rheumatic gymnastics, which has been proven to reduce pain scales for RA sufferers. Based on preliminary studies, RA patients do not know how to do rheumatic gymnastics to reduce joint pain. The introduction and intervention of rheumatic gymnastics for patients with RA in the Pulau Pinang Health Center need to be carried out as a physical activity program to reducing the pain scale for the sufferer of RA. The method used is conducting a preliminary study, collaboration with health workers, community leaders, and cadres in the Pulau Pinang Health Center area, implementing activities by providing training by watching videos and practicing rheumatic gymnastic, and then monitoring before and after the intervention using Numerical Rating scale (NRS) observation. The result was that after being given rheumatic exercise for one month, with one activity per week in 8 minutes duration, there was a decrease in the pain scale of 15 participants who experienced moderate pain to mild pain. Rheumatic gymnastics can affect the work of the cerebral cortex, including cognitive and emotional aspects, providing positive perceptions and relaxation, which has an impact on feelings of happiness and reduces pain. Keywords: rheumatic gymnastics; rheumatoid arthritis; pain; community. 

scholarly journals Physical activity program using active video games with sedentary adolescents

2021 ◽  
Vol 10 (16) ◽  
pp. e467101624066
Author(s):  
Maria Luísa Melo Barbosa ◽  
Luís Felipe Melo Barbosa ◽  
Ciane de Jesus Gomes Vieira ◽  
Auxiliadora Damianne P. V. Costa ◽  
Luiz Rodrigo Augustemak de Lima ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Rate ◽  
Body Composition ◽  
Video Games ◽  
Physical Fitness ◽  
Biochemical Parameters ◽  
Physical Activity Program ◽  
Active Video Games ◽  
Activity Program ◽  
Active Video

Objective: the aim of our study was to assess the effect of a physical activity that uses active video games in body composition, physical fitness, cardiovascular and biochemical parameters with sedentary adolescents. Methods: a non-controlled clinical trial design with a convenience sample of adolescents, separately, from ages ten to 17, of both genders. The intervention protocol consisted of physical activity with active video games (AVG), lasting two months, in 24 sessions, evolving into three levels (basic, intermediate and advanced) according to the maximum heart rate of the individuals. The adolescents’ body composition, physical fitness, cardiovascular and biochemical parameters were assessed. Data analysis was performed with a 95% confidence interval. Results: among the 14 adolescents that completed the physical training, we observed a improvement of muscle resistance (Δ= 8.26; p= 0.02) and decrease in post-exercise heart rate and systolic blood pressure (p< 0.01). However, were found a non-significant decrease in body fat percentage (Δ= -3.83; p= 0.24) and strength (Δ= 4.26; p= 0.57). A high level of satisfaction with the proposed activity was identified. Conclusion: a physical activity program based on AVG can reduce cardiovascular risk factors and improve muscle resistance in sedentary adolescents.

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